Percutaneous Achilles Tendon Tenotomy vs Tendo-Achilles Lengthening (TAL) in Neglected Clubfoot Children.
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Tenotomy of Achilles Tendon, Tendo-Achilles Lengthening.
- Who it may be relevant to
- Registry conditions: Clubfoot. Basic parameters: 2 years — 5 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Functional Outcomes of Percutaneous Achilles Tendon Tenotomy vs Tendo-Achilles Lengthening (TAL) in Neglected Clubfoot Children Age 2-5 Years.
Overview
Achilles tendon tenotomy is the established worldwide gold standard for correcting idiopathic clubfoot. However, in neglected cases, surgical interventions such as percutaneous Achilles tendon tenotomy (PAT) and open tendo-Achilles lengthening (TAL) are common techniques for correcting this deformity. This study aimed at determining the functional outcomes of Percutaneous Achilles Tendon Tenotomy (PAT) vs tendo-Achilles Lengthening (TAL) in the neglected clubfoot children of age 2-5 years.
Detailed description
Despite the increasing use of percutaneous techniques, there is a lack of literature directly comparing the functional outcomes of these two procedures, PAT and TAL. Addressing this knowledge gap is essential to guide pediatric orthopedic surgeons in selecting the most appropriate intervention for the treatment of equinus deformity in neglected clubfoot patients, optimizing functional recovery, minimizing complications, and ultimately improving the quality of care for children with neglected clubfoot.
Interventions
- Procedure Tenotomy of Achilles Tendon
Patients will be started on serial casting and manipulation according to ponseti method. After successful correction of cavus, varus, and adductus, patients will be treated using the tenotomy of Achilles tendon technique. - Procedure Tendo-Achilles Lengthening
Patients will be started on serial casting and manipulation according to ponseti method. After successful correction of cavus, varus, and adductus, patients will be treated using the Tendo-Achilles Lengthening technique.
Primary outcome measures
- Improvement in ankle dorsiflexion [Time frame: 6 months]
Secondary outcome measures (3)
- Bleeding [Time frame: 1 hour]
- Infection [Time frame: 6 months]
- Incomplete tenotomy [Time frame: 6 months]
Eligibility criteria
Inclusion criteria
- Any gender
- Aged 2-5 years
- diagnosed with clubfoot
- Pirani score 3-6
Exclusion criteria
- Patients with other neuromuscular, chromosomal abnormalities
- myelomeningocele
- Dystrophic dysplasia
- Moebius syndrome
- Amniotic band syndrome
- Metatarsus adductus
- Syndactyly
- Polydactyly
- Previously underwent Achilles tendon tenotomy or tendo-Achilles lengthening
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Pakistan · 1 center
- Jinnah Postgraduate Medical Centre — Karachi
Identifiers
NCT: NCT07561697 · Dr-Pervez-Ali-Karachi